Individual
THOMAS EJENE HEDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
SHELBY COUNSELING ASSOCIATES, 543 MAIN STREET, SHELBYVILLE, KY 40065
(502) 633-2025
(502) 633-3634
Mailing address
2803 WOODLAWN RD, SHELBYVILLE, KY 40065-8360
(502) 633-2025
(502) 633-3634
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34001580A
IN
1041C0700X
Clinical Social Worker
Primary
KY343
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8200048000
—
KY
Enumeration date
11/11/2005
Last updated
07/09/2007
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